Individual provider Active NPI

Michael Bruce Lappin, MD

  • Ophthalmology Physician
  • Santa Ana, CA
National Provider Identifier
1497829006
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C30285 Issued in CA
Practice address
801 N Tustin Ave
Suite 700
Santa Ana, CA 92705-3611
Phone
(714) 541-4185
Fax
(714) 541-3465
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C30285 CA Primary

Addresses

Primary practice location

801 N Tustin Ave
Suite 700
Santa Ana, CA 92705-3611

Mailing address

801 N Tustin Ave
Suite 700
Santa Ana, CA 92705-3611
Phone (714) 541-4185

Other identifiers 1

IdentifierTypeStateIssuer
00C302851MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080119000146 CA Practitioner - Ophthalmology 5890876502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C30285CAMDOphthalmology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1497829006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "SUITE 700",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053611",
            "telephone_number": "714-541-4185",
            "fax_number": "714-541-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "SUITE 700",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053611",
            "telephone_number": "714-541-4185",
            "fax_number": "714-541-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPPIN",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C30285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C302851",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.